| NPI | 1386017572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMBERLY PITTER President 754-332-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-02-03 |